Beijing Key Laboratory of Bioelectromagnetism, Institute of Electrical Engineering, Chinese Academy of Sciences, Beijing 100190, China.
Department of Spinal Surgery, Beijing Boai Hospital, China Rehabilitation Research Center, Capital Medical University, Beijing 100068, China.
Neural Regen Res. 2013 Sep 25;8(27):2531-9. doi: 10.3969/j.issn.1673-5374.2013.27.004.
An injury potential is the direct current potential difference between the site of spinal cord injury and the healthy nerves. Its initial amplitude is a significant indicator of the severity of spinal cord injury, and many cations, such as sodium and calcium, account for the major portion of injury potentials. This injury potential, as well as injury current, can be modulated by direct current field stimulation; however, the appropriate parameters of the electrical field are hard to define. In this paper, injury potential is used as a parameter to adjust the intensity of electrical stimulation. Injury potential could be modulated to slightly above 0 mV (as the anode-centered group) by placing the anodes at the site of the injured spinal cord and the cathodes at the rostral and caudal sections, or around -70 mV, which is resting membrane potential (as the cathode-centered group) by reversing the polarity of electrodes in the anode-centered group. In addition, rats receiving no electrical stimulation were used as the control group. Results showed that the absolute value of the injury potentials acquired after 30 minutes of electrical stimulation was higher than the control group rats and much lower than the initial absolute value, whether the anodes or the cathodes were placed at the site of injury. This phenomenon illustrates that by changing the polarity of the electrical field, electrical stimulation can effectively modulate the injury potentials in rats after spinal cord injury. This is also beneficial for the spontaneous repair of the cell membrane and the reduction of cation influx.
损伤电位是脊髓损伤部位与健康神经之间的直流电位差。其初始幅度是脊髓损伤严重程度的重要指标,许多阳离子,如钠和钙,占损伤电位的主要部分。这种损伤电位以及损伤电流可以通过直流电场刺激来调节;然而,电场的适当参数很难定义。在本文中,损伤电位被用作调节电刺激强度的参数。通过将阳极放置在损伤脊髓部位,阴极放置在脊髓的头端和尾端,或者将阳极中心组的电极极性反转,将损伤电位调制到略高于 0 mV(作为阳极中心组),或者调制到-70 mV,这是静息膜电位(作为阴极中心组)。此外,未接受电刺激的大鼠作为对照组。结果表明,在电刺激 30 分钟后获得的损伤电位的绝对值高于对照组大鼠,但远低于初始绝对值,无论是将阳极还是阴极放置在损伤部位。这一现象表明,通过改变电场的极性,电刺激可以有效地调节脊髓损伤后大鼠的损伤电位。这也有利于细胞膜的自发修复和阳离子内流的减少。